A Hoarding Alliance local resource guide
A respectful place to begin - whether you are looking for support for yourself, worried about someone you love, or trying to respond to a safety, housing, or practical concern.
Start here - Fight the Blight
Our virtual groups give people affected by hoarding and clutter concerns a place to connect from San Francisco, the Bay Area, and other communities. We can help you think through what is happening and what kind of next step may fit.
Call 911 for a medical emergency, fire, or immediate threat. For behavioral-health crisis support, call or text 988 or San Francisco's 24/7 Behavioral Health Access Line. For San Francisco service navigation, call 311. Housing and protective-services pathways have different eligibility and jurisdiction rules.
First conversations
You do not need to know the perfect service name before reaching out. These organizations can help you understand the landscape and identify a next step.
Fight the Blight offers virtual support groups for people affected by hoarding and clutter concerns. Reach out from San Francisco or the wider Bay Area to ask about current group options and the best place to begin. This is a nonprofit, peer-centered starting point - not emergency or clinical care.
MHASF describes a peer-led Hoarding Behavior Program with support groups, family and friends groups, one-on-one peer counseling, referrals, and limited home visits. Its current site says participants must live in California and that the program does not move or remove possessions or force goals. Confirm the current group schedule, enrollment process, privacy expectations, and whether a particular service fits.
The current IOCDF profile for the San Francisco Center for Compassion-Focused Therapies says its clinicians work with hoarding challenges and offer individual, couple, family, and group therapy. The profile also lists online compassion-focused therapy groups for adults in California at $60 per session with sliding scale available. Confirm openings, fees, insurance, clinical fit, and whether the person wants therapy before contacting the practice.
The International OCD Foundation directory can be searched by city, state, or ZIP code for clinicians, treatment groups, and professional organizers. Current listings are leads rather than endorsements or guarantees of competence, availability, cost, insurance, or fit. Ask about consent, pacing, privacy, and safety before beginning care or organizing work.
Safety and stability
These pathways serve different situations. Read the labels carefully before calling, especially when a response may involve protective services, housing screening, or emergency dispatch.
San Francisco Human Services Agency lists Adult Protective Services at 415-355-6700 and says the line is available 24 hours. APS is for suspected abuse, neglect, exploitation, or serious safety concerns involving an older or dependent adult; it is not a general cleanup referral and cannot replace 911 for immediate danger. Explain the situation and ask what reporting pathway applies.
San Francisco Department of Public Health materials list a 24/7 Behavioral Health Access Line at 888-246-3333 and identify mobile crisis and psychiatric emergency pathways. This is for behavioral-health service access or crisis support, not routine organizing or cleanup. Call or text 988 for a national crisis connection, or call 911 for an immediate medical or safety emergency.
San Francisco describes Coordinated Entry as the front door to its homelessness response system. Access points assess people experiencing homelessness and may connect them to problem solving, shelter, housing opportunities, and other services. Access does not guarantee placement, and the correct entry point depends on whether the household is an adult, family, or young person.
The San Francisco housing portal directs people to housing counselors, the DAHLIA affordable-housing portal, homeless resources, and the SF Service Guide. Housing counselors can help with applications and housing searches. Waitlists, lotteries, documentation, and availability change, so confirm the current program rules and application route before relying on a listing.
People and practical help
These listings offer local connections for peer support, navigation, home safety, organizing, or cleanup. They are independent organizations; ask about current availability, cost, scope, consent, and safety before relying on them.
The San Francisco Human Services Agency's DAS Benefits and Resources Hub offers walk-in and phone-based navigation for older adults, adults with disabilities, veterans, and caregivers. The Hub can connect people with In-Home Supportive Services, home-delivered meals, case management, Community Living Fund, and other benefits. Services and eligibility vary, so ask what intake pathway fits the situation; this is not emergency response or a cleanup service.
Recology San Francisco provides curbside bulky-item collection for large furniture, appliances, mattresses, electronics, and other accepted items. The current program says residential customers in buildings with five or fewer units receive two collections per year at no additional charge, while buildings with six or more units receive one no-charge collection per unit; up to 10 items may be set out per appointment. Hazardous waste, construction debris, auto parts, and tires are excluded. Schedule before placing items at the curb and confirm current rules.
San Francisco's Department of Building Inspection explains how to file a complaint about residential maintenance, structural, plumbing, electrical, or other building concerns. The City asks for the exact property address and a specific description of the hazard; complaints can be filed online or by contacting Housing Inspection Services. This can start a code-enforcement process, but it is not a hoarding intervention, cleanup service, or substitute for 911 when there is immediate danger.
The Peer Tree offers a private-pay pathway for organizing help, decluttering and deep-cleaning coordination, support groups, and guidance for friends and family. It is a separate organization from Fight the Blight and the Hoarding Alliance. Ask about service area, scope, pricing, privacy, consent, pacing, and what can be provided virtually or in person before beginning.
Unburied is a digital, peer-led pathway from The Peer Tree for people affected by hoarding and clutter concerns, including friends and family supporters. It offers judgment-free connection and tools that can support ongoing momentum. It is not therapy, emergency response, or a replacement for local crisis, medical, housing, or protective-services pathways.
The Mayor's Office of Housing and Community Development lists rehabilitation loans and grants for qualifying San Francisco homeowners and multifamily property owners. These programs may help address physical housing hazards, but they are not hoarding treatment or cleanup. Ask about current funding, income limits, eligible work, loan terms, and partner-agency intake.
Rebuilding Together San Francisco describes a home repair program for qualifying low-income households, including homes with an older adult, a person with a disability, or a child. Its application page says repair services are provided without charge when the household qualifies, but work is limited by funding and volunteer availability and is not immediate. Confirm current intake, eligibility, scope, and landlord approval requirements.
Collector Care describes professional organizing and hoarding cleanup services throughout the San Francisco Bay Area and identifies chronic disorganization and hoarding disorder as specialties. It is not affiliated with Fight the Blight or the Alliance. Ask for a written scope, pricing, insurance, disposal plan, privacy practices, and a consent-based pace before scheduling.
The San Francisco Bay Area affiliate of the International OCD Foundation publishes listings for peer-to-peer groups, including San Francisco-area OCD groups and Mental Health Association of San Francisco hoarding-related groups. It says the listed groups are independent rather than OCDSFBA programs. Confirm the current meeting time, format, eligibility, contact method, and whether a group is accepting new participants.
A note from the Alliance
A listing here does not mean Fight the Blight endorses every provider or can guarantee availability. The Hoarding Alliance is not a city or county agency, therapy practice, emergency service, or cleanup company. We will keep reviewing this page, but please confirm details directly before relying on them.
Need help choosing a path? Contact Fight the Blight